Tuesday, 19 July 2016

Approach to arthritis

**Red flags**

  • Fever
  • Weight loss
  • Profuse rash
  • Lymphadenopathy
  • Cardiac murmur
  • Severe pain and disability
  • Malaise and fatigue
  • Vasculitic signs 
  • 2 or more systems involved


Arhritis in children: causes to consider

Infections

  • rheumatic fever
  • septic arthritis
  • meningococcaemia
  • osteomyelitis
  • reactive arthritis
  • tuberculosis
  • viral infections
Inflammation - chronic arthritis
  • juvenile idiopathic/chronic arthritis
  • oligo articular
  • seropositive polyarticular
  • seronegative polyarticular
  • systemic onset arthritis 
  • enthesitis related arthritis
  • Psoriatic juvenile arthritis
Haematological disorders
  • thalassaemia
  • sickle-cell anaemia
  • haemophilia
Neoplasms
  • Leukaemia
  • Lymphoma
  • Neuroblastoma
Orthopaedic conditions
  • perthes
  • slipped upper femoral epiphyses
  • chondromalacia
Others
  • Henoch-schonlein purpura
  • kawasaki syndrome
  • scurvy
  • traumatic arthrits
  • osteochondritis
  • psychogenic rheumatism
  • malignant tumour
    • bone
    • cartilage
    • synovium

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